Organization
SOUTHERN CALIFORNIA ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G KEENAN CRNA (CEO)
(619) 857-8764
Entity
Organization
Contact information
Practice address
835 THIRD AVE, CHULA VISTA, CA 91911-1352
(619) 857-8764
Mailing address
723 A AVE, CORONADO, CA 92118-2223
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN559071
CA
Other
Enumeration date
05/28/2018
Last updated
05/28/2018
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